Organization
HIGHER GROUND UNLIMITED
Active
Other names
Higher Ground TCM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHENISE LYTRELLE WILLIAMS MBA (PRESIDENT)
(321) 947-0706
Entity
Organization
Contact information
Practice address
118 1/2 N WOODLAND BLVD, SUITE 2, DELAND, FL 32720-4268
(386) 734-6355
Mailing address
PO BOX 2967, DELAND, FL 32721-2967
(321) 947-0706
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007901900
—
FL
Enumeration date
10/30/2012
Last updated
10/23/2013
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